| East Towne Dental Associated Belgium Family Dental Sc | |
|
11501 N Prot Washington Rd Mequon WI 53092 | |
| (262) 241-8880 | |
| (262) 241-5250 |
| Full Name | East Towne Dental Associated Belgium Family Dental Sc |
|---|---|
| Speciality | Dentist |
| Location | 11501 N Prot Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Vali Kiaie (PRESIDENT) |
| Authorized Official Contact | 2622418880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Towne Dental Associated Belgium Family Dental Sc 11501 N Prot Washington Rd Mequon WI 53092 Ph: (262) 241-8880 | East Towne Dental Associated Belgium Family Dental Sc 11501 N Prot Washington Rd Mequon WI 53092 Ph: (262) 241-8880 |
| NPI Number | 1356489603 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356489603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5301 (Wisconsin) | Secondary |
| 122300000X | Dentist | 5304 (Wisconsin) | Secondary |
| 122300000X | Dentist | 5993 (Wisconsin) | Primary |
Kittleson Orthodontics, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-3141 | |
North Shore Dental Group S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-1180 Fax: 262-242-0930 | |
Comprehensive Dental Services Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Suite 200, Mequon, WI 53092 Phone: 262-241-2060 Fax: 262-241-2064 | |
Wisconsin Dental Group, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6048 W Mequon Rd Ste 200, Mequon, WI 53092 Phone: 414-216-9211 Fax: 414-216-9216 | |
Northshore Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd Ste 103a, Mequon, WI 53092 Phone: 262-240-0405 | |
Brent J Martin Dds Ms Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 W Towne Square Rd, Mequon, WI 53092 Phone: 262-241-3019 Fax: 262-241-3027 |